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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Rate Hysteresis
Report:Sinus rhythm 1 VEBs, multiform 2 Demand ventricular pacemaker 3 Rate hysteresis 3 Fusion beat (top panel) 1 Comment:The VVI pacemaker takes over after the VEBs; the long cycle it terminates corresponds to a rate 50/min, while the subsequent t
Holter Ischæmia
Report:Top: Sinus tachycardia 105/min SVEB ST/T changes suggestive of ischæmia Middle: Sinus rhythm 80/min Resolving ST/T changes Bottom: Sinus rhythm 66/min Isoelectric ST segments Comment:This is a good example of spontaneous ischæmia (at 3.
Poor (Manâs Exercise) Test
Report:Sinus rhythm 56 â 66/min VEB SVEBs, blocked Post-ectopic T wave inversion Comment:The Holter strips are a continuous recording. Post-VEB beat (top strip) has inverted T wave â what some call a post-extrasystolic repolarisation change. Sim
Tape Speed Artefact
Report: Normal sinus rhythm Speed artefact Comment: Speeding up the tape has the same effect on the trace as slowing down the paper speed during a recording. The Cardiologist operating the Holter did this deliberately for my benefit, in 1976. I was take
Sudden Death During Holter Monitoring
Aortic StenosisReport: Top: Sinus tachycardia 112/min VEBs, frequent, multiform, some in couplets Second strip: Sinus arrhythmia 100 - 64/min Marked ST segment depression consistent with ischæmia Third strip: Sinus arrest Junctional escape rhythm
Holter: Artefact Mime of VT
Report:Sinus rhythm VEBs, multiform, one dimorphic couplet (bottom panel) Movement artefact 295/min, uncertain origin Comment:The ârunâ in the top panel has an unlikely fast rate of almost 300/min, but it looks scary, especially in a patient fitted
Holter-Monitored Sudden Death
Report:Sinus bradycardia 32/min (12.5 mm/sec recording) Asystole Comment:The patient had a routine Holter âto exclude AFâ for a recent occipital CVA and was found dead in his bed. It is not always possible to ascertain whether the death was cardiac
Torsade Artefact
Report:Sinus rhythm 82 â 88/min VEBs, one couplet Movement artefact lower panel Comment:For some reason, the (signed) report included â1 episode of torsadesâ (Fig 90a). This is a gross error, given that normal QRS complexes can be mapped out thro
Holter Tape Stretch
Report:Sinus rhythm 68 â 70/min Paper speed or stretch artefact Comment:Variable, in this case fast, paper speed prolongs all the formed elements of the cardiogram to make them look like the last four complexes in this recording. The prolongation is i
Six Minutes of Multiform Ventricular Tachycardia
Report: Atrial fibrillation with ventricular response 80 â 135/min VEB Ventricular tachycardia, multiform, sustained, 180 â 220/min Atrial fibrillation with slow response 37 â 44/min following VT Comment: This was a repeat Holter study, concerne